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Novel treatment (new drug/intervention; established drug/procedure in new situation)
CASE REPORT
Tenon patch graft for corneal fistula: a rare entity treated by a simple technique
  1. Prafulla Kumar Maharana,
  2. Deepali Singhal,
  3. Pranita Sahay,
  4. Jeewan S Titiyal
  1. Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Prafulla Kumar Maharana, drpraful13{at}gmail.com

Summary

A 50-year-old patient presented with dull aching pain with some discomfort in his right eye for the past 2 weeks. History revealed the patient had a past episode of infective keratitis managed medically in a local hospital. The last follow-up record suggested a diagnosis of healed keratitis with corneoiridic scar. On examination, the patient had visual acuity of hand movement and a corneoiridic scar of 7×7 mm with an inferotemporal translucent cystic area measuring 3×4 mm in size with underlying uveal tissue visible. Seidel test was found to be positive confirming leakage. For this, a tenon patch over the area of defect along with anterior chamber formation was done. On postoperative day 1, the graft was well attached and anterior chamber was formed with no leak on Seidel test. Intraocular pressure was 16 mm Hg.

  • eye
  • anterior chamber

https://doi.org/10.1136/bcr-2017-222790

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    Footnotes

    • Contributors PKM has performed the surgery and was involved in conceptualisation, preparation of manuscript and final editing. DS has prepared the manuscript and was involved in keeping patient record and photographs. PS was involved in the final editing of the manuscript. JST was involved in proofreading and finalising the manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.